Techniques and outcomes of secondary open repair for chronic dissection after acute repair of type A aortic dissection.

Publication/Presentation Date

12-1-2018

Abstract

Despite successful repair of acute type A aortic dissection (TAAD), the distal false lumen may remain patent resulting in progressive degeneration of the remaining distal aorta. This can lead to aneurysmal dilatation and risk of rupture. Open distal reoperation to replace the residually dissected thoraco-abdominal aorta may be accomplished with acceptable morbidity and mortality in experienced hands. This can be facilitated when the index operation for acute TAAD is tailored to exclude all primary tears and set the arch and descending aorta for a subsequent open, endovascular or hybrid procedure.

Volume

59

Issue

6

First Page

759

Last Page

766

ISSN

1827-191X

Disciplines

Medicine and Health Sciences

PubMedID

29943963

Department(s)

Department of Surgery

Document Type

Article

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